This patient had a mastopexy which is a breast lift. This breast lift is a short scar right breast lift. This means there is no horizontal scar, only a scar around the nipple in a vertical scar. An implant is not needed in a breast lift to create cleavage. An implant is only needed for size. The advantage of not needing an implant is that there is no implant that has to be changed in the future.